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Organization
NUEVA VIDA MEDICAL GROUP INC
Active
Organization
NUEVA VIDA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELINA A NAZARI (OFFICE MANAGER)
(818) 484-6592
Entity
Organization
Contact information
Practice address
14443 TITUS ST, PANORAMA CITY, CA 91402-5251
(747) 777-3445
(717) 777-4657
Mailing address
14443 TITUS ST, PANORAMA CITY, CA 91402-5251
(747) 303-1331
(747) 303-1113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0505X
Diabetology (Internal Medicine) Physician
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
07/21/2026
Last updated
08/21/2026
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